IndividualActive
Jamie Jellison
NPI 1669833125 · Nurse Practitioner · Pratt, KS
Provider details
- NPI number
- 1669833125
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 53-77174 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Commodore St
Pratt, KS 67124-2903
Phone: (620) 672-7451
Fax: (620) 672-2113
Approximate (ZIP-level) locationGet directions
Mailing address
200 Commodore St
Pratt, KS 67124-2903
Registry dates
- Enumerated
- 2016-03-11
- Last updated
- 2016-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.